A Community-based Picture of Type 2 Diabetes Mellitus in Vietnam

Le, Daniel; Kusama, Kaoru; Yamamoto, Shigeru

doi:10.5551/jat.13.16

Cited by 16 publications

(7 citation statements)

References 32 publications

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“…Most of subjects with the disease had not undergone appropriate treatment and management at the study sites. Meanwhile, the detection rate of diabetes in the present study was markedly lower than previously reported (2001) in Vietnam: 6.9% among adults in Ho Chi Minh City and 5.8% in Hanoi, compared with the present findings of 1.1% with high blood glucose level (≥200 mg/dl; ≥11.1 mmol/l) and 0.8% with elevated HbA1c (≥6.5%) [8, 11]. Our diagnostic criterion for diabetes was higher than 200 mg/dl of blood glucose level because most subjects were examined after a meal, but fasting blood glucose level was not taken into account in this study.…”

Section: Discussioncontrasting

confidence: 55%

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Impact and Perspective on Chronic Kidney Disease in an Asian Developing Country: A Large-Scale Survey in North Vietnam

et al. 2008

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Background: The prevalence of chronic kidney disease (CKD) in Asia is expected to increase along with increases of hypertension and diabetes. Most cases are not treated and progress to end-stage renal disease (ESRD) with an increased risk for cardiovascular complications. Renal replacement therapies are so expensive that most ESRD patients die without treatment. Thus, countermeasures against early stages of CKD are urgently needed. Nevertheless, basic information for CKD has not been reported in Vietnam. Methods: We conducted a survey of CKD in 8,505 inhabitants aged >40 years in Vietnam. Subjects with abnormal urinary findings were further examined, including serum creatinine levels. In this study, CKD was defined as <60 ml/min/1.73 m² of estimated creatinine clearance by the Cockcroft-Gault method. Results: We identified 3.1% of subjects as CKD (stages 3–5) with positive findings in urine test. We also found that elderly hypertension and malnutrition were independent risk factors for CKD in this population. Conclusion: We found a significant number of CKD patients in Vietnam. To avoid a CKD pandemic in Asia including Vietnam, we strongly suggest further analyses of risk factors and prognosis of CKD in these populations, and the development of efficient management systems suitable for Asia.

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Section: Discussioncontrasting

confidence: 55%

“…In Vietnam, their lifestyle is changing quickly along with rapid economic growth. Accordingly, the prevalence of diabetes in adults in Hanoi increased from 1.3% in 1990 to 5.8% by 2001 [7, 8], and the prevalence of CKD is also expected to increase considerably there in the near future.…”

Section: Introductionmentioning

confidence: 99%

Impact and Perspective on Chronic Kidney Disease in an Asian Developing Country: A Large-Scale Survey in North Vietnam

et al. 2008

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“…The extent of this increased prevalence is evident in a recent study conducted by Ta et al, (2010), in Ho Chi Minh city, Vietnam, where rates of T2DM were found to be 10.8% of men and 11.7% of women, compared to approximately 7% in Australian populations [ 1 ]. Additionally, while the average BMI of Caucasians with T2DM is approximately 26–27.5/m 2 , [ 16 ], the average BMI of Vietnamese T2DM patients is around 23 kg/m 2 [ 17 ]. As well as occurring at lower BMI levels, rates of T2DM increase more rapidly in the Vietnamese, with even modest increases in BMI [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…As well as occurring at lower BMI levels, rates of T2DM increase more rapidly in the Vietnamese, with even modest increases in BMI [ 12 ]. This overall increased prevalence of T2DM is thought to be linked to greater levels of abdominal and visceral adiposity in Vietnamese individuals [ 17 , 18 ] compared to other ethnicities.…”

Section: Introductionmentioning

confidence: 99%

Diabetes care and service access among elderly Vietnamese with type 2 diabetes

Carolan

Cassar²,

Quiazon

et al. 2013

BMC Health Serv Res

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BackgroundVietnamese patients are disproportionately represented in type 2 diabetes mellitus statistics and also incur high rates of diabetes complications. This situation is compounded by limited access to health care. The aim of this project was to gain a deeper understanding of the difficulties Vietnamese patients experience when accessing services and managing their type 2 diabetes mellitus, and to identify factors that are important in promoting health service use.MethodsThree focus groups with 15 Vietnamese participants with type 2 diabetes mellitus, 60 to >70 years of age, were conducted in Vietnamese. Open-ended questions were used and focussed on experiences of living with diabetes and access to healthcare services in the Inner Northwest Melbourne region. Audio recordings were transcribed and then translated into English. Data were analysed using a thematic analysis framework.ResultsFindings indicate four main themes, which together provide some insight into the experiences of living with diabetes and accessing ongoing care and support, for elderly Vietnamese with type 2 diabetes. Themes included: (1) the value of being healthy; (2) controlling diabetes; (3) staying healthy; and (4) improving services and information access.ConclusionsParticipants in this study were encouraged to adhere to diabetes self-management principles, based largely on a fear of medical complications. Important aspects of healthcare access were identified as; being treated with respect, having their questions answered and having access to interpreters and information in Vietnamese. Attention to these details is likely to lead to improved access to healthcare services and ultimately to improve glycemic control and overall health status for this community.

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“…The meaning of self-care may also possibly be associated with the context of a disease trajectory, healthcare culture, individual attitudes, personalities and cultural beliefs. However, contemporary literature about type 2 diabetes in Vietnam has focused on the prevalence (N. Son, Trung, Kaoru, & Shigeru, 2006), the risk factors (Chan et al, 2009;L. Son, N,T,D., et al, 2004;N.…”

Section: Rose and Harris (2006) Who Conducted Qualitative Interviews ...mentioning

confidence: 99%

Self-Care of Older Persons Living With Diabetes in Vietnam: A Qualitative Study

Mai

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This study aimed to describe the meaning of ?self-care? from the perspectives of older persons living with diabetes and explored the self-care behaviors of older persons living with diabetes. The qualitative method was applied in this study. Data were collected by in-depth interview of 16 older persons with Type 2 diabetes in Vietnam. In addition, field note and observation note were written on the reflections, ideas, and meaning of self-care and self-care practices during the data collection process. All data were analyzed by using content analysis method. The results of the study were reflected the self-care from the perspective of older people with type 2 diabetes. The informants in this study stated the meaning of the disease as diabetes is a disease of ?sugar pee?; and diabetes is the ?lifelong? and ?forever? disease. The first objective in this study is that ?Meaning self-care? which including 2 themes 1) Self-responsibility to take care of self for the lifelong, and 2) Seeking information to take good care of self. And the second objective is ?Self-care practices? with including 7 themes: 1) Self-monitoring of blood sugar level, 2) Taking diabetes medication regularly, 3) Control eating but it is difficult, 4) Doing some physical activities to get sweat, 5) Caring for their foot, 6) Living with the disease, 7) Taking home remedies. This qualitative research methodology expands the understanding of the context in which finding the meaning of self-care, diabetes self- care occurred and how they used to manage their diabetes. Developing interventions for Vietnamese older persons with diabetes could help them to manage their diabetes mellitus and prevent or delay diabetes related complications. So, the nurses should focus on each person with Type 2 diabetes and evaluate the patients to facilitate greater understanding of the patients? knowledge structures to have the plan for health education in accordance with their individual conditions, circumstances and culture.

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A Community-based Picture of Type 2 Diabetes Mellitus in Vietnam

Abstract: There has been a significant increase in the prevalence of type 2 diabetes mellitus (T2DM) in Vietnam. We found that Vietnamese with T2DM had a normal body mass index (BMI), but high levels of total body fat and abdominal fat.

Cited by 16 publications

References 32 publications

Impact and Perspective on Chronic Kidney Disease in an Asian Developing Country: A Large-Scale Survey in North Vietnam

Impact and Perspective on Chronic Kidney Disease in an Asian Developing Country: A Large-Scale Survey in North Vietnam

Diabetes care and service access among elderly Vietnamese with type 2 diabetes

Self-Care of Older Persons Living With Diabetes in Vietnam: A Qualitative Study

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